Non-Clinical Denials Analyst - Professional Billing at Cottage Health in Goleta, California

Job Description:

Responsible for the identification, analysis and resolution of non-clinically based underpayments and denials, and initiating appeals between Cottage Health and outside payers - commercial, HMO, PPO.

The analyst will work with revenue cycle and clinical departments within Cottage Health, and third party payors' provider representatives to identify the source of denials and develop processes to eliminate and/or minimize denials/underpayments and rejections to improve cash flow. The non-clinical denials analyst works denied and underpaid accounts to obtain full reimbursement for services provided and identify denial and underpayment root causes.

Qualifications:

Basic user of MS Outlook, Word and Excel. Ability to navigate payor websites and CMS manuals.

2 years of billing/collections revenue cycle experience, with at least one of those years working with denials and appeals

Preference to 3 years working with denials and appeals, in an acute care setting. 1 year supervisory experience.